Episode 172 The Unexpected - A Chat with Prof Emily Oster

In this episode recorded for baby Loss Awareness week 2024,  Join us as Catherine MacLennan from the Vilomah Foundation opens up about her personal journey through pregnancy loss and the varied care she received. Catherine’s story underscores the emotional toll and disparities in care, urging for a more empathetic approach in maternity services. We discuss the 2016 project, Nobody's Patient, and its enduring impact on bereavement care. From workshops in South West London to the importance of active bereavement teams in every hospital, Catherine emphasizes the significance of individualised care. As Baby Loss Awareness Week and the Wave of Light event on October 15th approach, we reflect on the evolution of the Vilomah Foundation & its work.  Providing virtual sessions for greater accessibility , Catherine introduces their new workplace training initiative, designed to spread awareness and support across various settings. This episode is a testament to resilience and the transformative power of community and understanding in the face of profound loss. As Catherine says ' Be the difference'.https://thevilomahfoundation.org.uk/https://babyloss-awareness.org/Find Catherine X @thevilomah, FB & Insta The Vilomah foundation, or email [email protected] you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...

Join me as I talk with Sarah Fishburn,  who shares her deeply personal journey through three pregnancies plagued by pelvic girdle pain (PGP). Sarah opens up about how the lack of adequate information and support during her experiences inspired her to create the Pelvic Partnership, an organization dedicated to educating and empowering women suffering from PGP. Together, we dissect the often misunderstood mechanics behind pelvic pain and emphasize the critical importance of early treatment and challenging common misconceptions. Our discussion critiques the standard medical advice of using support belts and physiotherapy, advocating for thorough hands-on assessments and treatments. Sarah shares insights on the effectiveness of a comprehensive approach that includes muscle release and psychological support to address the mechanical dysfunctions of the pelvis for effective long-term pain management.Discover the challenges many face when accessing manual therapy and sports physio within the NHS, and why patient advocacy is more crucial than ever. We provide practical advice on finding reputable private physiotherapists and discuss funding options for those who can’t afford private treatment. Finally, we address the profound impact of PGP on daily life, its psychological and social ramifications, and the vital need for a holistic approach to postnatal care. Sarah's story of resilience and advocacy serves as a powerful reminder that with the right support, women can reclaim their lives from the grips of pelvic pain.Want to know more?https://pelvicpartnership.org.uk/https://www.youtube.com/watch?v=ruongqOgNkghttps://pelvicpartnership.org.uk/wp-content/uploads/2023/05/PGP-Toolkit-V6.pdfhttps://pelvicpartnership.org.uk/healthcare-professionals/https://pelvicpartnership.org.uk/pelvic-partnership-wins-prize/https://www.sciencedirect.com/science/article/abs/pii/S0266613813000107?via%3DihubThank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...

Curious about how the new RSV vaccine could protect your baby? Join me, Florence, as we uncover the latest addition to the UK’s maternal vaccination program. In this episode of the OBSpod, I break down everything you need to know about the respiratory syncytial virus (RSV) vaccine. Learn how this innovative recombinant vaccine works & why it's crucial for infants under a year old.Expectant mothers, healthcare professionals, and anyone interested in maternal and infant health will find this episode particularly enlightening. I'll guide you through the rationale behind the vaccine's introduction and its expected impact on both families and the NHS. We’ll also revisit some key points from our previous discussions on pregnancy vaccinations, offering a well-rounded perspective on this significant healthcare advancement. Tune in to arm yourself with the knowledge needed to make informed decisions about the RSV vaccine or to confidently advise others about it.Want to know more?https://www.gov.uk/government/publications/respiratory-syncytial-virus-rsv-maternal-vaccination/a-guide-to-rsv-vaccination-for-pregnant-womenhttps://www.gov.uk/government/collections/respiratory-syncytial-virus-rsv-vaccination-programmehttps://www.gov.uk/government/publications/rsv-immunisation-programme-jcvi-advice-7-june-2023/respiratory-syncytial-virus-rsv-immunisation-programme-for-infants-and-older-adults-jcvi-full-statement-11-september-2023#:~:text=JCVI%20advised%20that%20a%20RSV,and%20conclusions%20of%20the%20committee.Thank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...

Can dental care during pregnancy really impact your baby's health? Join me, Florence, as I crack open the myths and present the facts on this crucial yet often ignored topic. Discover why maintaining good dental hygiene is more important than ever during pregnancy, despite outdated beliefs linking gum disease to preterm birth being debunked by recent studies like the meta-analysis from Norway. We'll delve into the specifics of increased risks like gingivitis and tooth erosion, and highlight the invaluable UK's maternity exemption certificate for free dental care.In this episode, I emphasize pregnancy as a golden opportunity to establish lifelong oral hygiene habits, benefiting both mother and child. Learn how maternity professionals can play a pivotal role in guiding expectant mothers towards essential dental services and why this conversation is vital for future generations. We also tackle the alarming rates of dental caries in young children and the regional disparities that persist, advocating for broader health discussions that could transform community health outcomes. Don't miss this enlightening episode that bridges the gap between dental care and maternity health!Want to know more?https://bmjopen.bmj.com/content/8/3/e018556https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2013/08/oral-health-care-during-pregnancy-and-through-the-lifespanhttps://www.gov.uk/government/publications/child-oral-health-applying-all-our-health/child-oral-health-applying-all-our-healthThank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...

Could you imagine the emotional and mental whirlwind of encountering postnatal psychosis right after welcoming your baby into the world? Join us as we sit down with the incredibly courageous Sarah, who takes us through her deeply personal journey of battling postnatal psychosis following an emergency caesarean section and her son’s critical NICU stay. We explore the crucial role of perinatal mental health teams, and the struggle of distinguishing physical from mental symptoms when sleep-deprived. Ever wondered what it’s like to stay in a Mother and Baby Unit (MBU) ? Sarah opens up about her mixed emotions and the relief of being with her child despite the challenging circumstances. Highlighting the significant role of parent-infant psychotherapists and the small yet impactful acts of kindness from healthcare staff, the discussion emphasizes the necessity of early intervention and holistic care.  making this a must-listen for anyone touched by maternal mental health issues. From the shock of mental health issues resurfacing after years of stability to the emotional strain caused by medication changes impacting breastfeeding, Sarah’s narrative is both raw and enlightening. Her reflections on the struggle for self-worth and the irreplaceable mother-child bond provide a poignant look at the postpartum journey.  This episode offers a heartfelt thank you to Sarah for sharing her story, which provides essential awareness and understanding for healthcare professionals, new parents, and families navigating similar paths.Want to know more?https://www.nhs.uk/mental-health/conditions/post-partum-psychosis/https://www.app-network.org/https://www.mind.org.uk/information-support/types-of-mental-health-problems/postnatal-depression-and-perinatal-mental-health/postpartum-psychosis/Thank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...

Ever wondered how to navigate the uncertain terrain of pregnancy complications with confidence? Join us as we welcome Professor Emily Oster, an economist from Brown University and a celebrated author, who brings her latest data-driven insights to the table. In this episode, we dive deep into her new book, "The Unexpected: Navigating Pregnancy During and After Complications," Co-authored with  Dr. Nathan Fox, an OBGYN. The book  shares personal experiences and valuable advice on preparing for medical consultations and understanding past pregnancy challenges. Emily's journey into the world of parenting data is not just enlightening but also empowering for expectant mothers aiming to make informed decisions.Listen as we discuss communicating risks and probabilities effectively,  and transforming abstract data into meaningful, understandable information for patients. We also explore how USA and UK maternity care models differ. This episode is a treasure trove of insights for expectant mothers, healthcare professionals, and anyone passionate about enhancing maternity care. Want to know more?https://profilebooks.com/work/the-unexpected/https://parentdata.org/Instagram @profemilyoster Thank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...

Imagine giving birth in a peaceful sanctuary rather than a bustling, noisy ward. Join me, Florence, as  newly installed noise-monitoring devices in our maternity ward prompt me to think about noise levels in maternity.  Reflecting on my own experiences, including the challenges of keeping my voice down, we’ll navigate through the World Health Organization's guidelines on acceptable noise levels in hospitals. Discover the diverse sources of noise, from technological equipment to emergency buzzers, and understand how managing these sounds could create a more restful environment for laboring women and their newborns.Engage more deeply with TheObsPod by exploring our programme notes packed with useful links. Connect with me on social media platforms like Twitter and Instagram, or send in your suggestions via email. Let's keep TheObsPod free and accessible for everyone, and if you enjoy our episodes, consider supporting us through the “buy me a coffee” link. Your contributions are appreciated but never expected. Thank you for being part of this journey, and I look forward to your continued support and engagement.Want to know more?https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7935697/https://soundear.com/soundear-ii-standard/https://royalcornwallhospitals.nhs.uk/2024/04/26/digital-healthcare-transformation-project-aims-to-reduce-noise-levels-in-maternity-ward/Thank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...

Have you ever considered the impact of a simple medical term on a person's experience? Midwife Jenny Cunningham and Catriona Forbes of a research collective join us to unravel the complex issue of weight stigma in pregnancy.  Jenny shares her path from hands-on midwifery to academic research, while Catriona offers a personal narrative on the stigma she faced as an expectant mother, lending depth to our understanding of these early, often negative categorizations.Language has power, especially in healthcare, and this episode sheds light on the need for respectful terminology when discussing body weight during maternity care. We've replaced the word "obesity" with "higher weight" to foster a stigma-free environment. Catriona provides invaluable insights into the response from individuals with higher body weights, and together, we discuss the evolution of our research methodology to ensure it's inclusive, community-based, and sensitive to the needs of those it aims to serve. We also tackle the practicalities of prenatal care, such as folic acid dosages and the importance of creating a healthcare environment free from anticipatory anxiety.Lastly, we navigate the emotionally charged waters of maternity scans and medical conversations about body size. From the choice between induction and cesarean delivery to the importance of transparent and patient-centered communication, we underscore the crucial need for honesty and personalized care in addressing weight-related health risks. As we invite more voices to join our ongoing research, particularly from communities that are often unheard, we reaffirm our commitment to enhancing support for all expectant mothers through respectful dialogue and care.Want to know more?https://shameandmedicine.org/maternity-care-for-women-of-a-higher-weight-how-is-shame-experienced/Contact Jenny  by email [email protected] or DM via twitter or Instagram. Twitter: @djennymidwife  Instagram: @phdjennymidwife   Thank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...

I am excited to bring you this episode on hyperemesis gravidarum. Joined by renowned experts Professor Catherine Nelson-Piercy, Dr. Melanie Nana, and Professor Catherine Williamson, we dissect the impact of this condition and the ground breaking RCOG guidelines that are transforming care for pregnant women. These leading figures pull back the curtain on shocking statistics like the 5% termination rate for wanted pregnancies due to severe nausea, emphasizing the urgency for healthcare providers to truly listen and validate the experiences of their patients.Navigating through a maze of myths and half-truths can be daunting for anyone dealing with hyperemesis gravidarum. This episode dismantles the misplaced faith in ginger remedies and sheds a revealing light on the ineffective use of ketones as a dehydration marker. We also engage in a crucial discourse on the controversial use of ondansetron, weighing the systematic review findings against the necessity for evidence-based treatment. Our guests don't just talk facts; they advocate for a compassionate approach to care, urging clinicians to tune in to their patients' needs and foster a supportive healing environment.Wrapping up this crucial conversation, we turn to the poignant, often hidden psychological repercussions of hyperemesis gravidarum. The episode shares heartening stories of how pre-pregnancy counselling and proactive treatments can dramatically improve women's pregnancy experiences. Furthermore, we delve into the potential that genetic studies on HG hold for future treatment avenues, as our guests offer a glimpse into the exciting possibilities on the horizon. This isn't just a discussion—it's a beacon of hope for standardized care and understanding for every woman braving the storm of hyperemesis gravidarum.Want to know more?https://www.rcog.org.uk/news/updated-rcog-green-top-guideline-on-the-management-of-nausea-and-vomiting-in-pregnancy-and-hyperemesis-gravidarum-published/https://uktis.org/monographs/use-of-ondansetron-in-pregnancy/https://www.medicinesinpregnancy.org/https://pubmed.ncbiThank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...

Have you ever experienced a moment of cultural awakening, realizing that there's so much more to learn about the traditions of those around us? That's exactly what happened to me, Florence, after reading an enlightening tweet from the outstanding obstetrician Nisha Knot, which set me on a path to discover more about Ramadan and its effects on pregnancy. Join me on the OBSpod as I navigate my own journey of understanding, driven by the realization that many of the Muslim women we support in healthcare are observing this pillar of their faith. This episode is a heartfelt quest for knowledge, as I tackle the complexities of fasting during pregnancy without the guiding voice of an expert guest, but with the earnest desire to learn more and share that knowledge with you.As we ponder the impact of fasting on expecting mothers and how this practice varies across the globe due to differences in daylight hours, I turn to a pivotal article that serves as an evidence-based guideline for obstetricians. This episode isn't just about sharing what I've learned; it's an invitation to engage in a more inclusive and informed maternity care conversation. I hope that by openly discussing my own educational gaps and curiosities, we can all feel empowered to ask questions and seek answers together. So whether you're a healthcare professional, a pregnant woman observing Ramadan, or simply someone intrigued by the intersection of culture and care, this episode is for you. Let's grow our understanding and become better allies to the diverse communities we serve.Want to know more?https://www.ajog.org/article/S0002-9378(23)00169-2/abstracthttps://maternityandmidwifery.co.uk/fasting-in-ramadan-during-pregnancy-and-breastfeeding-a-personal-journey/https://youtu.be/E2AceO2j2ocThank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...